Los Angeles daily herald., 1887-05-16
G "A. T A r r. n .


The most prominent and Characteristic
features Is morbid discharge from the
mead, varying in its nature at different
times.
In some there is an almost constant flow
Of clear, acid fluid, but oftencr an offensive,
purulent, or muco-purulent, gfeeuish-yel.
low matter is secreted, which aceumulates
IN the nostrils or drops into tho throat
necetsltating its frequent removal by blow
ing the nose or expectOration, aud often by
bosh processes. Sometimes patients feel az
though their whole head was in state Of
rottenness, SO great is the amount of matter
discharged and SO fetid Is ITS odor. The
patient is greatly annoyed by the constant
dropping into the throat OF the morbid
matter from the head, and as q recumbent
position naturally iavors the flow down
wa. d, his rest is frequently disturbed from
this cause. Many sufferers are Obliged 20
lie with the head very much elevated In
order 10 sleep with some degree OF com
fort.
In others a tough, visoid and offensive
phlegm sollects behind and above the soft
palate, IN the passage between the throat
and head. adnerlng to the parts with gltIish
tenactty. Its lOdgment embarrasses respf.
ration and creates e sensation of irrltati1 n
and uneasiness in the affected locality,
which gives rise to n constant and almost
irresistible desire TO relieve the discomfort
by drawing the mucous into the throat so as
to eject ii by the mouth. This practice,
popularly known es "haVkiug," is charac
terisic OF eatarrh, and proves as eabar.
| IhoSluB tu tnc one NHecte1 rs N IL dlSaLree,
able 70 those around him
Again, the offensive mntter lardens and
deposits Itself on the membrane ia tho
shape of dry, hard concretions. which are
discharged by way OF the nos'rils or throat
in Jumps or fragments of deep green tint.
La some cases these inerustations sccumu-
late 10 such an extent as to form q regular
| plug in the nose, which obstructs breathing
and produces serious discomfort. 80 firmly
do these incruststions adhere 10 the point
OF attachment that their removal u .ualiy
erqulres the most violent efforts; not unfre
quently they have TO be torn from the mem.
brane. Occasionally solid cast of notable
size is expelled, on which there are gener-
ally traces OF blood, but 10 some cases the
cast presents tubular appearance, being
of exact shape of the nasal cavity. This
condition is indicative OF liberation, which
in time may destroy the bony structure of
the nose and produce subsequent fiatten-
| ing OF that organ.
Gases are occasionally met with In which
thicE, yiscidt Shiny secretion coats the
membrane of the nasal cavities and then
putffes. giving rise to a stencil which Is
really overpowering and sufficiently fetid
| to poison the atmosphere OF a whole room;
and there are others in which ali the seere-
| tions OF the membrane are suspended, caus-
| ing an unpleasant fesling of dryness, heat
and feyerishness in the head and nose--a
condition popularly known as "Dry Ca
The disease speedily extends to the air
cavities OF the bones of the forehead and
| face, giving Rise TO distressing sensation
| OF heavy weight, or compression over the
| forehead. especially in tho region above
and between the eyes, and to a feeling OF
| fuilness, heat, irritation, soreness or pain
in the nostrils near the root of the nose, as
wei as IN the upper part cf the throat above
and behind the soft palate. Sometimes
| there Is pain obstinately fixed in some par.
ticulaI part. as in the temple, on the top Of
the head, at the back of tie neck, or behind
| the orbits, and occasionally pain mauifests
l hay ut
| that 1t Is frequently mistaken for neuralgia
The breath is always tainted and at times
assumes an exceeding fctid and sickening
odor. In some cases 1t becomes SO revolt
ingly offensive as 20 render the sufferer
an object oil disgust TO himse # as well as 10
others.
The nasal membrane is thickened and
| congested, causing tine nose to be stopped
up, sometimes on one side. sometimes on
the other, and often oA both, giving ris to
q disagreeable stuffy sensation in the head,
and oecasion1ng yielent aud Prulonhed
paroxysms of sneezing.
| The voice is weak, indistinct and husky,
or of nasal Character, displaying sort Of
| smiling quality Oftentimes there is con-
ilnuous hoarsenes. and discordance. There
is also sense OF irritation in the throat
and frequent attempts to clear the parts OF
| pblegm, producing the sound Them" more
| or less forcibly. In some cases patients
complain of an uncomfortable feeling of
fullness. or choky sensation in the throat
and In others of distressing and almost
constant dryness. for the Temporary relief
| OF which they have to swallow frequently.
| Others. again, speak of constant bad or
nauseous taste in the mouth or throat.
The stomach generally suffers more or
| less and becomes weak and irritable; the
appetite is capricious and nearly always bad
| IN the morning, The patient Is languid, un-
able to perform mental or physical labor
| with the usual facility: is nervous, de-
| pressed in spirits, at times fearful, timid,
agitated and inclined to drowsness and
| sleep, the memory weakened and perman.
| ent impairment threatened.
| Ihe mueus membrane soon becomes NOR
| bidly sensitive to unfaYorable influences,
and In spite OF the utmost care becomes af-
tected from the slightest causes, so that at
last breath Of wind upon the lining of the
nose or throat becomes productiveof cold,
and gives rise to serious disturbances of the
respiratory organs. Thus the patient Is sub
lect TO frequent and repeated coles, each
| attack aggravating the disease by giving 1t
| a new impulse and involving larger ex-
| tent or surface than its predecessor. In this
manner the difficulty spreads from organ TO
organ, invading the throat. larynx. trachea
and bronchial tubes, until, encroaching
! further and further, 1t reaches the finer
| ramihcations of the bronchi, when but a
| slight impulse is required to send 1t to the
lungs. Catarrh may. and often does, affect
| other oIgans in the body, especially those
containing mucus membrane, such us the
st2mach, bowels, kidneys. etc.
BY the employment OF proper inhalations
In the form OF medicated vapor mot steam
or spray we are able to produce Immediate
and direct action upon the diseased surface
IN the pharynx and nasal passages, for air
viii hndgts way into the most remote and
Intricate cavities. where 1t is utterly impos-
sible to make fluid applications BY these
meaus every case can be cured.
ozGNA.
Ozoena is the professional or technical
name given to the advanced form Of catarrh
4 m Ion f ,tfrlt flt..
membrane lining OF the nose to the cartil-
age OF the bone. Any case of catarrh may
end In ozena, but 1t most frequently occurs
IN those who are naturally scrofulous. The
discharge takes place through the nostrila
or through the throat, and Is generally of a
yellcwish or greenish yellow color, freqeut.
ly tipged with blood, and almost always at
guage of. DR.. Wood. OF Philadelphia, "The
disease is ore of the most obdurate and
disagreeable which the physician has 70
encounter. In bad cases the breath OF the
patient becomes so revolving as to isolate
him from society and to render him an oh.
ject of disgust even to himself" In some
cases pieces OF bone become separated and
w6icgb sl66agn on, Leaving deep unhealthy ulcers,
tremely difficult to heal. After oznna has
continued tor some time the sense of smell
nsi usually becomes impaired and often lost.
9uences. and results from its extension
through the eustachian tnbes to the Internal
ear. Pains in the head and over the frontal
sinuses, fmpairing memory, and even In
sanity frequently springs frem its extension
20 tne Drain. The greatest danger, however,
pecause the most common, is that 1t will
extend downward and affect the lungs. In
most cases of pulmonary disease catarrh is
present IN some degree and In many In.
stances II causes large share of the pa
BESIDES these grave consequences, ali OF
which are liable TO spring from sero fnlous
catarrh or ozDna, there are Others which, II
Iess dangerous. are sufficiently unpleasant.
II occasions great unhappiness tot thousands
OF Doth sexes, by isolating them and pre-
venting their settlement Ia life. An offen-
siNe running from the nose, with foul
. pIea,h, Is about as great e calamity as can
Deiaii young, people. tor no young people
snonid ever think of marrying While shliet-